North Suburban Family Health Center

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD016075E Issued in PA

Legal business name

NORTH SUBURBAN FAMILY HEALTH CENTER

Practice address

4284 William Flynn Hwy
Suite 102
Allison Park, PA 15101-1439

Phone

(412) 486-8677

NPI assigned

Feb 13, 2007

Last updated

Oct 16, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Part of

Medvantx Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1699817759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705",
            "telephone_number": "858-625-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 WILLIAM FLYNN HWY",
            "address_2": "SUITE 102",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011439",
            "telephone_number": "412-486-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN FAMILY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD016075E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole D Bosak OD Inc
• Kathryn Ann Niebel, ATC. RN
• Ronald J Nigborowicz, MD
• Deborah Nikolin, DC
• Noah Noble
• Margarita Patricia Nuhfer, PH.D
• Timothy O'Neill, PHARMD
• Brigette Kelly Omlor, COTA/L
• Ronald Joseph Oneill, PHARMACIST
• Lisa Ann Osachy, PSYD

• Non-Pharmacy Dispensing Site in Allison Park, PA
• Providers in Allison Park, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.